Search

Background • Cardiac rehabilitation (CR) in China has not been widely adopted for a variety of reasons, including healthcare provider (HCP)s’ lack of awareness and beliefs. Objective • To explore HCP’s perceptions of CR in China. Methods • An exploratory, sequential design was used in this mixed-methods study. Face-to-face semi-structured interviews were performed; this was followed by a crosssectional survey. Setting • The interviews were conducted in a universityaffiliated hospital and a rehabilitation hospital in Shanghai. The survey was conducted in the cardiac departments of primary, secondary, or tertiary hospitals in Shanghai or Yunnan Province, China. Participants • Saturation was achieved upon interviewing 13 HCPs (5 doctors, and 8 nurses). A total of 610 HCPs (185 doctors [30.5%], 417 nurses [68.8%]) completed the survey. Results • Analysis of the interviews revealed 4 themes: the perceived value of CR, the need for pro-CR policy, variability in CR awareness, and obstacles to CR delivery. HCP approaches to the treatment of patients with cardiac conditions did not universally include exercise training (only approximately 60% of HCPs), or all other recommended domains of secondary prevention, and assessment of the major risk factors was quite low. Familiarity with CR was moderate (48.7%). HCPs perceived that philosophies of Traditional Chinese Medicine (TCM) were highly compatible with, and could add value to, CR. HCP approaches to secondary preventive care and CR perceptions varied significantly according to their highest level of education, clinical profession, job seniority, type of hospital where they worked, whether the hospital had a CR program and the hospital’s location. Conclusion • HCPs recognize the value of CR, particularly considering secondary preventive care practices were not comprehensive. Education is needed to improve HCPs CR awareness. [ABSTRACT FROM AUTHOR]

The article focuses issues related to suspended women workers in Shanghai, China. In mid-April 1993 a television camera swung into focus on Shanghai General Corduroy Plant and on the suspended women workers waiting for new work who had come to collect their relief payments. These are not the suspended workers who collect the lowest wages. The one who collects the lowest wages is a woman called Zhou Rongping, who has been suspended for the second time. After her first suspension she requested to return to work, but she had been back for less than three months when she was suspended again because there was insufficient work for her to do. Her original wages had been 81 yuan per month, so calculating 60 percent of this; she now received 48.60 yuan per month. The cadres and staff of the Shanghai General Corduroy Plant all find themselves in a situation where it is extremely difficult to know how to move forward. Everyone still clearly remembers, however, that only yesterday, this plant, as the sole producer of corduroy and printed flannelette in central Shanghai, was a real money tree. In the forty years from 1949 to 1989 its annual foreign exchange earnings reached as much as $40 million. The profits and taxes the plant handed over to the state could have built twelve new plants on the same scale as itself.

Background and Objectives: To provide a questionnaire, with Shanghai medical interns as respondents, analyzing knowledge (K), attitude (A), and practice (P) in relation to clinical nutrition, and to explore factors that could affect KAP scores.Methods and Study Design: The cross- sectional study used 330 interns from Shanghai medical universities responding to general material data questionnaires and KAP questionnaires on clinical nutrition.Results: The mean KAP score was 210.26±25.9 (X±SD), and the score for each part of the KAP questionnaire was just within the threshold for qualified. Multivariate analysis showed that the factors influencing the proportion of excellent scores for K were preventive medicine major (OR=3.45, p<0.001), senior intern (OR=2.52, p=0.002), and tertiary intern hospital (OR=2.31, p=0.006). The only factor influencing the proportion of excellent scores for P was accessing nutritional information one to three times per week (OR=3.95, p=0.011). Nutrition course had no relation to any scores of K, A, P.Conclusions: The mean scores of overall KAP and the individual K, A, P were all categorized as qualified. The P score was the lowest and only influenced by how frequently information was accessed. In summary, nutrition knowledge and regular practical training gained from intern hospital could be a better way to enable senior interns to quickly and competently address patient nutrition problems at the commencement of their careers. [ABSTRACT FROM AUTHOR]